anté  Mentale  et  Exclusion  Sociale





for   people  living in  extreme  poverty  and  health  conditions


Persons exists when their voice is listened and understood’

Dignity  and  Well-being,
  these two keywords, from the 12th SMES Conference of Rome (2013) continue to inspire  our initiatives: 

1)     the  collect of 50 profile of people on the  street with  conclusive report;

2)     the conference in Lisbon (March 2017), 

3)     the Erasmus+  project (2016-19) and  now  

4)     the project  concerning the coherence and  congruence of services,  adequate  to the  needs .

The first phase of our study, "Dignity and Well-being" has focused mainly on the person, that  due to several social and health factors, 

has had to live-in permanent way- on the street, under extreme conditions of deprivation, neglect, connected often with mental health problems. The profiles of over fifty people, in charge of the services both social and health, were discussed and analyzed  by
colleagues  in three workshops especially to understand why  despite the different services offered,
a  number of these people
(or so it seemed...)  preferred to stay  on the street rather than  accept the solution proposed by services

The second phase of Dignity and Well-being"
project, following basically the same methodology:

a)      At least  50  data collection services , through a standard protocol

b)     3  workshops for exchanges and inter-vision.

We would like to propose thorough evaluating congruence between need and service, the  dissemination of efficient  and innovative practices that correspond to needs expressed or not and  more  to the  main aim  of inclusion and participation.

Very often we find that the services – especially if excessively institutionalized - respond essentially to the specific needs, (emergency 
shelter in the winter, canteens, showers, clothing ...) rather than to the global person, who live daily in extreme precariousness and abandonment situation.

The risk – frequently - is to respond to  ‘our’  needs : security, order, clean city, good conscience…, rather than listening to and
understanding each other, that just as ‘other’ disoriented us his word express verbally or through a body hurt that should be given
our full attention.


The 2nd phase or D-&-WB project consists of:  

1)     collecting  at least 50 profiles of Centers that offer services to people both in emergency centers, in day centers, in both the
social and health services.  

2)     Inter-vison in meeting of  team,  before the drafting of the protocol

3)     Participation in five workshops  (Bucarest - Helsinki -  Riga - Paris - Rotterdam ) where will exchange ideas and proposals

4)     A synthetic final report  (as for 50 profiles of persons of first phase ) 

5)     The final event 2022  : XV CONFERENCE  SMES in  BRUSSELS : opportunity  for underline congruence  between  evaluated needs of  person  and  institutional services offered .

As for the previous study D-&-WB concerning persons, height partners have contributed to these research/action, so SMES will try to invite other organizations to be  partner  for this  research/action concerning the services.

YOUR  PROPOSALS  concerning this project will be very welcome, send to  :




concerning aim, access, quality  of SERVICES

for people living in extreme poverty and health conditions




SMES-Europa, following the findings of its activities in collecting and analysing profiles of homeless people with mental illness proposes,
Dignity & Well-being' a transnational project to exchange experiences and knowledge in the field of social and mental health vulnerability in order to promote adequate, effective and respectful answers, ensuring the dignity and well-being for each person and the access to fundamental rights and to basic services.


SMES-EU, following the previous project Dignity and Well- Being (D-&-WB) aims to pursue & develop this initiative, moving the focus from the person to the services.       


1.  Which are the congruence coinciding between the needs and the service offered?

2.  How to promote exchanges between nations and institutions in order to analyse, evaluate and share
     knowledge and good practices? 

3.  How to promote Health and Social Services cooperation for sustainable cures and care?

4.  How to provide integrated services congruent with the complex needs of homeless with mental illness?

5.  How to prevent the risk to transform emergency services into life long assistance services?


We suggest these 5 categories of services in relation with 5 basic and most frequent priority needs observed in the interventions for the 50 reported people:

1.  Night shelters:  roof emergency services 

2.  Urgency in Hospital: health/mental health emergency services  

3.  Drop-in centres:  where specific attention focuses on the basic needs of the person

4.  Day-centre:  where it’s possible to find support for specific programs

5.  Recovery  / rehabilitation centre: where the re-capacitation and rehabilitation  of the person  are  the  priority
     of  the  programs  and  initiatives   for reintegration 


SMES proposes to analyse the context, interventions and daily practices through exchanges and inter-vision, in order to evaluate the actions and the practices of the services.

Method: Seeing, Evaluating, Proposing :

1.  Collecting at least 50 profiles of centres that offer services to people in emergency centres, in day centres,
     in social and health fields.

2.  Inter-vision in team meeting before the drafting of the protocol

3.  Participation in five workshops  (Bucarest - Helsinki -  Riga - Paris - Rotterdam ) where will exchange ideas
     and proposal  about  the data collected in the protocols

4.  A synthetic final report (based on 50 profiles of services)

5.  A Final Event 2022  : XV CONFERENCE SMES  in  BRUSSELS :opportunity to underline congruence the crossover
     between evaluated needs and services


1.  Improving professional knowledge

2.  Co-working and synergies between social and health fields

3.  Supporting integrated and multidisciplinary answers

4.  Involvement of civil society through interactions between professionals and volunteers  


1.  Collecting data about different services systems in the partners’ countries using a common protocol in order
     to discuss the services in the workshops

2.  Visiting the services of the hosting country

3.  Inter-Vision on prepared protocols by the different partners and on the services visited

4.  Analysis of the collected data and the publishing of a good practices manual

5.  Final event in order to present the results of the project to the policy maker


1.  Improvement of the professionals’ knowledge

2.  Involvement of the institution and the policy makers in health and social services

3.  Involvement of the formal and informal training agencies


Two years: 2018-2020, the first 16 months are dedicated to research through 4 international exchanges (one every 4 months), the last 8 months are dedicated to the writing of the final documents


SMES-Europa with its social and health transnational network,

Professionals on front line, on the streets, in shelters and in emergency centers, who meet,  support, accompany and orientate these people in processes of inclusion and participation.




Homeless people living in severe & chronic social, physical, psychical precariousness are a symptom of the malaise and a permanent injury to democracy and social cohesion. They are almost a provocation and a challenge both for those ones working in health / mental health and social sector and for those who should be responsible on the policies and on the citizens

Though any proposal for aid (support ?) , these homeless people seem to prefer to live in the street or in an emergency centre, shelter, occupied building.

WHY some of these homeless people in this conditions seem to refuse any planned and institutionalized help?  

Are the answers adequate to the requests of help? 

Are the interventions respectful of the dignity of the person and coherent with the complex needs they bring?  

Is the lack (of this integrate comprehensive services) of continuity in the social inclusion actions the cause of these  impermeable barriers?




To involve in co-working professional workers in social – health - mental health field, in private and public services, including volunteers people, who, day by day, are faced with a set of old & new issues, complex needs, with political & social pressures far from the ethical respect of dignity of the person.

(Professionals with remuneration inadequate, teams with unjustifiable staff reductions and finally with forms of constant stress that reduce each intervention in charitable assistance and often extinguish any creative proposal)

We’d like to involve partners working in 4 different sectors, who are 4 pillars in supporting inclusive & participative projects:

1 ) Soc. Ass. services: Emergency shelters, drop inn centres;  dispensaries...

2 ) Mental health Institutional & Community services      

3 ) Home  services: solidarity apartments, housing first…, 

4 ) Participation citizenship: job adequate; recognized role;  re-capacitation



The project focusing attention
 on low threshold services : of is on shelters and accommodation facilities aimed to homeless, people with mental illness and migrants

The main objective is to improve the competences of the professional workers in social and mental health field with homeless, people with mental illness and migrants.

Build a mutual and lifelong training programme aimed to give new competences in deinstitutionalization of the methodology in services delivering.

Build a new strategy in delivering ‘HOME’ (accommodation) facilities in which single people needs are more important than community or institution’s needs. 


 SPECIFIC  OBJECTIVES  of  'Dignity & Well-being project’,

First of all,  attention to  person :  to meet, listen & understand deepest, the voice of excluded people : voice-less, identity-lesshome-lesshealth-lesshope-less and  recommend some absolute priorities in social & health policy

Through the analysis of the different services system,  aimed to homeless people,  we’d like to understand if the answers given by the institutions are coherent with the complex needs brought by homeless people with mental health problems.

Identify the good practices and strategies able to facilitate for homeless people the access to the fundamental rights (House, Health, Job) aimed to defeat the risk of revolving doors and ineffective charity interventions in the individual paths to come up from the deep social and economic deprivation.

Promote and facilitate a great collaboration & net-working between workers of Institutions, Organisations, Associations involved in social an health fields, public and  private sectors, for realising efficient synergy and turn these daily practices into effective models of efficiently networking

Involve all civic society: policymakers, administrators, citizens and mass media, because this is a structural society problem and not only and specific problem for professional people: doctors, social workers and similar... 

Underline  the differences are  very  important in exchanges  of knowledge and  analysis of  experiences in order to highlight effective and innovative alternatives in approach and in the organisations of shelters, facilities and delivering services


Better and deepest knowledge for efficient and sustainable interventions

Directly this project for ‘adult education and permanent training’ has as its target the knowledge needs of professionals and volunteers from different European countries, working in the field of extreme poverty, closely linked to mental health problems.

Indirectly, the project would improve positive consequences for understanding, adequate and sustainable taking charge treatment for those who are too often excluded or invisible or so much visible rejected by indifferent or pity : the home-less, health-less, hope-less of European metropolis.


Seeing: Visit the services system aimed to homeless people of the partners’ countries of the project

Evaluating: Analyse how the system of services is integrated with the civil society

Proposing: How to support the best practices evidenced Improving knowledge and building capacities on 3 levels

From concrete cases and daily experiences discussed and evaluated during the workshops sessions, try to synthetize the similarities and differences in the living conditions of homeless, in the interventions and pathways, in order to suggest in final memorandum more adequate intervention and recommend absolute priorities.

The project also aims at producing a document that will share all that was learned and provide guidelines for good practice to the community of professionals working with the homeless mentally ill.


Collecting data about the services systems of the partners’ countries using a common protocol  

Visits and workshops with exchange of professionals (one week per each training/exchanging module and one module per country)

Analysis of the collected data and publishing of a good practices manual

1.     Kick-off meeting of Steering committee

2.     Launch of the project

3.     1 exchange workshop and visit per each partner

4.     1 conclusive conference 2022

5.     1 publication of good practice


Transforming the charitable approach with homeless in respect of the fundamental rights, the dignity and the well-being of the homeless people with mental health problems

1.         building capacity to co-working together: public & private services –  health & social sectors

2.         improving knowledge about complex needs and adequate answers

3.         involving civic society, policy makers, administrators and mass media

4.         involving European Institutions: Commission, Parliament

5.      publishing a good practices manual


DURATION:   2020 -  2022